以Andersen模式探討家庭照顧者對正式支持系統的利用

The Utilization of the Formal Support System among Family Caregivers: Applied the Andersen Model

邱啟潤(Chii-Jun Chiou) ； 陳武宗(Wu-Tsung Chen) ； 陳宜品(I-Pin Chen)

《長期照護雜誌》 9卷4期 (2005/12) Pp. 331-348

https://doi.org/10.6317/LTC.200512_9(4).0005

摘要

本研究旨在利用Andersen模式探討接受居家照護服務之長期慢性病患的家庭照顧者對正式支持系統的利用。正式支持系統包括實質性、情緒性和資訊性服務。以高高屏地區與健保局有合約之46家居家照護機構所收案的居家照護個案為母群體，隨機抽樣後能配合協助的共有16家588案，經訪視完成有效問卷388份，完成率為66%。研究結果發現，照顧者居住的地區別、親朋鄰居的人數、病患的意識狀況、照顧者的慢性疾病數、非正式資訊性支持的利用與其心理社會的健康，可以預測正式資訊性支持的利用。實質性支持利用的重要預測因子，為照顧者之親朋鄰居的人數與病患的意識狀況。親朋鄰居的人數與非正式資訊性支持，是正式情緒性支持利用的重要預測因子。瞭解影響照顧者利用各項正式支持的預測因子，可以做為規劃或提供介入措施時的參考。

關鍵字

Andersen模式 ； 家庭照顧者 ； 正式支持系統

並列摘要

The Andersen model was used to examine the formal support system utilized by family caregivers, of relatives who were receiving home care services in southern Taiwan. The formal support system included instrumental, emotional, and informational assistance through caregiving or related tasks. In this research, a random sample of 16 institutions, 588 family caregivers were recruited. A total of 388 family caregivers were interviewed, accounting for 66% of the response. The results showed, the important predictors of informational support used were residential area, size of informal social network, patient's conscious levels, number of chronic diseases, the use of informal informational support and psychosocial health of caregivers. The important predictors of instrumental support used were patient's conscious levels, and the size of informal social network of caregivers. The use of informal information support and size of informal social network were emerged as significant predictors of emotional support used. These findings provide direction for the home care professionals and service providers, in targeting interventions that will meet the needs of family caregivers.

並列關鍵字

Andersen model ； family caregiver ； formal support system